As nurses, our coworkers and patients depend on us to regularly show up for work. While all of us are entitled to sick days every once in awhile, the general consensus is that when we are scheduled to work, we should be there. Other people depend on our presence.
However, lately I've found frustration at my own position because I co-supervise 3 units with a colleague who does not appear to be in good health. She constantly arrives late, leaves early or takes 1+ hour long breaks. Our floor nurses are frustrated with her because she's almost never around when they need her. Providers are frustrated because she doesn't have her discharge paperwork ready for them on time. She's often absent for family care conferences she should be attending. She's late to clinical meetings, doesn't regularly answer her emails and lets her voicemails exceed 10+ new messages at a time. She doesn't complete her weekly wound round notes.
This week, she's been absent every day except for 4 hours on Monday, and with 15+ discharges, over 10 admissions, state surveyors and COVID in the building, I've taken on the brunt of the increased workload. This is turning into a weekly occurrence. She's either not healthy enough to work a steady manager job that requires regular attendance or for some reason, less is simply expected out of her. My body is worn out from constantly covering from a "sick" colleague. Is it unreasonable to expect that my co-manager be in good health and be held to the same expectations as myself? I'm tired of always being under stress because of her work habits.
Just found out that I'll have to cover for my colleague once again for most, if not all, of next week for medical reasons again. It doesn't sound as if they're able to find a replacement. I'm not sure if I have the strength to cover for 56 patients again for multiple days in a row. If I don't already, I'm probably going to start having health problems myself if I keep having to do this. The stress is killing me.
8 hours ago, Hope21 said:What is absolutely critical in terms of covering all of those patients? Can your managers help, if they can’t find anyone else to help?
There are many things that will need to be addressed or completed including:
-Assisting with acute medical situations
-Completing admissions and discharges
-Attending care conferences and clinical meetings
-Assisting with provider visits
-Completing wound rounds on over 30 patients
-Addressing patient/family complaints
-Resolving staffing issues
-Potentially filling in on the floor
-Addressing staff conflict anddramaa
-Reviewing orders
-Miscellaneous tasks assigned by upper management
It's already a lot with my own workload, but add 28 more patients to it and it becomes nearly impossible to be successful in completing everything
I've always been told to ask for help but generally everyone else is already too busy themselves
When the nurses who are covering for her stop covering by starting calling to out and/or resign or flat out refuse by going to management...then the management will have to wake up or step up regardless of any "pet" relationships. As others have said, they have no incentive to change now as everyone is covering for her.
Sounds like her physical illness may also be mental health issues, either way whatever her problem(s) they are now bleeding over to others and it sounds like on a chronic level.
Time to make some decisions OP..only YOU can control how much longer this situation effects YOU.
13 hours ago, SilverBells said:I'd say both
If she is not your direct report, it's quite possible she has an intermittent FMLA case due to health, and you just are not aware of it. In which case, there really isn't anything you can do about it.
Does your facility have an attendance and/or punctuality policy?
If so, she should be expected to follow it, and should be going down the progressive disciplinary path for absenteeism.
If that's not happening for whatever reason, then you need to decide if it bothers you enough to find a different job.
That doesn't necessarily have to be someone with "bad health" They sound like they have bad work habits and have not been held accountable.
We have older nurses with some arthritis and can't run to a code like some of the other ones, but they sure can run the code like nobody's business.
People work through issues, some take advantage of them.
Davey Do
10,666 Posts
This could be a wise decision, SilverBells, like the Zen philosophy of the keeping still mountain, or the old adage of allowing the chips fall where they may.
If a situation is not terribly bad, it is sometimes best to condone. Numerous situations in my career went from bad to worse. We often think that if we get rid of that one bad apple, everything will be okay, only to have a rotten apple take its place.
Also, numerous times in my career, weathering a storm and waiting it out proved to my and others' advantage. I could tell you stories of outliving bad situations, poor coworkers and supervisors in order to continue in a position that was like an old shoe.